INCORPORATING SDOH INTO TRANSITIONAL CARE OF OLDER ADULTS: A THEORETICAL PERSPECTIVE
Onome Osokpo, Karen Hirschman, Elizabeth Shaid, Kathleen McCauley, Mary Naylor · 2024
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Description
What happens after an older patient leaves the hospital often decides whether they bounce back in a week. Onome Osokpo and four co-authors argue in this 2024 paper that social conditions must be built into transitional care, not noted in passing. Those conditions span home life, income, food, schooling, and neighborhood.
Working through the five domains of a national framework, they show how a proven transitional care model can be tuned to spot and soften each barrier. One-size care, they argue, misses the very factors that hit minority older adults hardest, like food insecurity. The adapted model aims to cut avoidable emergency visits and readmissions while raising good outcomes. The paper is a blueprint for care teams and health systems, not a trial report.
Catalog record
| CREATOR | Onome Osokpo, Karen Hirschman, Elizabeth Shaid, Kathleen McCauley, Mary Naylor |
|---|---|
| YEAR | 2024 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 2 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |